Table 3.
Univariate and Multivariate Analyses of 90-Day Complication Rates Between Matched Cohort of Inpatient vs. Outpatient Laminotomies for Lumbar Disc Herniation Controlled by Age, Sex, comorbidities, Insurance Type, and Geographic Region
90-day complication | Univariate |
Multivariate (Reference group—outpatient) |
||||
---|---|---|---|---|---|---|
inpatient % | Outpatient % | p-value | Inpatient odds ratio | 95% CI | p-value | |
Surgical site infection (SSI) | 2.26% | 1.42% | <.001 | 1.61 | 1.38–1.88 | <.001 |
Sepsis | 0.33% | 0.29% | .50 | 1.15 | 0.80–1.65 | .46 |
Nerve injury | 0.02% | 0.03% | .39 | 0.52 | 0.13–2.08 | .35 |
Venous thromboembolism (VTE) | 1.84% | 0.94% | <.001 | 1.96 | 1.62–2.36 | <.001 |
Wound dehiscence | 0.83% | 0.58% | .005 | 1.42 | 1.11–1.82 | .005 |
Hematoma | 1.25% | 0.74% | <.001 | 1.71 | 1.38–2.11 | <.001 |
Urinary tract infection (UTI) | 3.66% | 2.63% | <.001 | 1.41 | 1.25–1.58 | <.001 |
Acute kidney injury (AKI) | 0.50% | 0.28% | <.001 | 1.75 | 1.25–2.45 | .001 |
Atrial fibrillation | 0.97% | 0.77% | .03 | 1.25 | 0.96–1.64 | .10 |
Dural tear | 0.79% | 0.51% | <.001 | 1.55 | 1.20–2.01 | <.001 |
Neurogenic urinary retention | 2.26% | 1.20% | <.001 | 1.89 | 1.61–2.22 | <.001 |
Revision surgery | 1.97% | 2.95% | <.001 | 0.67 | 0.58–0.76 | <.001 |
Hospital readmission | 7.60% | 4.28% | <.001 | 1.84 | 1.68–2.01 | <.001 |
CI=confidence interval
Statistical significance when p-value <.05/13 based on Bonferroni correction.